Based on public Medicaid payment data.
Mary Beth Johnson
Medicaid Provider in Polacca, AZ
Type
Individual Provider
Address
Hwy 264, Mp 388
Polacca, AZ 86042
Phone
9287376162
NPI
1437292570
Procedures
1
Total Claims
25
Patients Served
24
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $38.10 | 25 | 24 |
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